General misconception exists in America as to the exact meaning and correct production of the Rose position. The idea is prevalent that almost any dorsal decubitus of the patient, with his head hanging over the end of the table, the top of which is usually horizontal with the floor, constitutes the Rose position. The result is that operations performed in such a position are almost always unsatisfactory and that blood and other fluids, especially in difficult prolonged technics, are generally drawn into the trachea or esophagus, in spite of efforts at active suction-drainage. I have frequently been present when operators have announced to by-standers that they were operating in the Rose position. I have never seen the Rose position correctly, or even approximately, assumed in America.
I have often been present at the operations of Mr. Rose, in London, and have been greatly impressed by Mr. Rose's unusually terse reply
BICKHAM WS. MISCONCEPTION, IN AMERICA, AS TO THE ROSE POSITION. JAMA. 1931;96(26):2185–2187. doi:10.1001/jama.1931.02720520013004
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